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` � '� � <br /> . �� � <br /> � <br /> � <br /> Total Fee: $ Date Received: ��j 7 (�� <br /> Entered By: Permit#: �/�a,/� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> � (please print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> .—�. _'=- <br /> JOB SITE ADDRESS: � �' � �� ZIP: ��.���'t, <br /> Will this be�arade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes No If yes, a special event permit is required with Police Deparlment and City Council approval <br /> 60 days prior to the event. Shuttle bus service wil!be required unless applicant demonstrates <br /> su icient�n-site parking is available. Non permitted events wil!not be allowed. <br /> NAME OF OWNER: � PHONE: (home) <br /> (work) <br /> MAILING ADDRE S:�"�j�J�..�i��LF� CITY: ZIP: � <br /> CONTRACTOR: � PHONE: �Q�I,Z 1 � �Z��� <br /> CONTACT PERSON: MOBILE GER: <br /> MAILING ADDRESS: ��1� =. .t�'. CITY: � �� ZIP: �aL`� <br /> STATE LICENSE: #���'����g EXPIRATION DATE: ``��` <br /> ARCHITECT/ENGINEER: N(�,� '��'� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition � Accessory Structure <br /> - Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may,,rec�uire �MCWD review and permits! <br /> PROPOSED WORK(describe in detui�:(�� �(��� �(`Z-,�j '� �j ,� �j� <br /> I �� <br /> STORIES: SQ.FEET OF EACH FLOOR: �� �� <br /> NO. OF BEDR OMS: � GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � ��i <br /> � <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a per 't d wor � ,not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATU ATE: O <br /> 31 <br />